臺灣健保癌症用藥事前審查實作指引
1.0.6 - STU1.0.6

This page is part of the 臺灣癌症用藥事前審查實作指引(TWPAS IG) (v1.0.6: STU1.0.6) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: 影像報告-DiagnosticReport Image TWPAS

Official URL: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-image-twpas Version: 1.0.6
Active as of 2025-07-30 Computable Name: DiagnosticReportImageTWPAS

此影像報告-DiagnosticReport Image TWPAS Profile說明本IG如何進一步定義臺灣核心-診斷報告(TW Core DiagnosticReport) Profile以呈現癌藥事前審查之影像報告

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Constraints: image-report
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
.... coding Σ 1..1 Coding Code defined by a terminology system
... code Σ 1..1 CodeableConcept 影像報告，ICD-10-PCS。外院報告請依ICD-10-PCS填寫，若無法對應，可使用LOINC代碼#18748-4呈現。
Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (preferred): 最新參考代碼清單請參考此檔案。
.... Slices for coding Σ 1..1 Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
..... coding:TW2023ICD10PCS SΣ 0..1 Coding 2023年中文版ICD 10 PCS-影像報告值集
Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案。
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:TW2014ICD10PCS SΣ 0..1 Coding 2014年中文版ICD 10 PCS-影像報告值集
Binding: NHI-臺灣健保署2014年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案。
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:LOINC SΣ 0..1 Coding 外院報告請依ICD-10-PCS填寫，若無法對應，可使用LOINC代碼#18748-4呈現。
Binding: LOINCDiagnosticReportCodes (extensible)
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
...... code SΣ 1..1 code Symbol in syntax defined by the system
Required Pattern: 18748-4
.... text SΣ 0..1 string 影像檢查的身體部位
... subject Σ 1..1 Reference(病人資訊-Patient TWPAS) The subject of the report - usually, but not always, the patient
... Slices for effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for report
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 1..1 dateTime 影像報告日期，YYYY-MM-DD
... performer SΣ 1..1 Reference(醫事人員-Practitioner TWPAS) 簽發影像報告醫師身分證號
... imagingStudy SC 0..* Reference(DICOM影像-ImagingStudy TWPAS) DICOM影像，SNOMED CT
... media SΣC 0..* BackboneElement 非DICOM影像
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... link Σ 1..1 Reference(非DICOM影像-Media TWPAS) Reference to the image source
... conclusion S 1..1 string 影像報告結果，請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。
... presentedForm SC 0..* Attachment 報告結果-MIMEType。若需要，可上傳影像報告的PDF檔。
Constraints: UploadContent
.... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
.... url SΣ 1..1 url 影像報告（請填寫完整檔案路徑）
Example General: http://www.acme.com/logo-small.png
Example General: file://ImagingDiagnosticReport01.pdf
.... title SΣ 1..1 string 影像報告名稱
Example General: Official Corporate Logo

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
From the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
From the FHIR Standard
DiagnosticReport.codepreferredICD10PCS2023Image
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-image
From this IG
DiagnosticReport.code.coding:TW2023ICD10PCSextensibleICD10PCS2023Image
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-image
From this IG
DiagnosticReport.code.coding:TW2014ICD10PCSextensibleICD10PCSImage
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2014-image
From this IG
DiagnosticReport.code.coding:LOINCextensibleLOINCDiagnosticReportCodes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/report-codes
From the FHIR Standard
DiagnosticReport.presentedForm.contentTyperequiredMime Types(a valid code from urn:ietf:bcp:13)
http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
UploadContenterrorDiagnosticReport.presentedForm填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf
: url.matches('^file://[a-zA-Z0-9_一-龥()（）－]+.[a-zA-Z]{2,5}$')
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
image-reporterrorDiagnosticReportDICOM影像(imagingStudy)或非DICOM影像(media)擇一必填。
: imagingStudy.exists() or media.exists()

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Constraints: image-report
... category 0..1 CodeableConcept Service category
.... coding 1..1 Coding Code defined by a terminology system
... code 1..1 CodeableConcept 影像報告，ICD-10-PCS。外院報告請依ICD-10-PCS填寫，若無法對應，可使用LOINC代碼#18748-4呈現。
Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (preferred): 最新參考代碼清單請參考此檔案。
.... Slices for coding 1..1 Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
..... coding:TW2023ICD10PCS S 0..1 Coding 2023年中文版ICD 10 PCS-影像報告值集
Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案。
...... system S 1..1 uri Identity of the terminology system
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
...... code S 1..1 code Symbol in syntax defined by the system
..... coding:TW2014ICD10PCS S 0..1 Coding 2014年中文版ICD 10 PCS-影像報告值集
Binding: NHI-臺灣健保署2014年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案。
...... system S 1..1 uri Identity of the terminology system
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
...... code S 1..1 code Symbol in syntax defined by the system
..... coding:LOINC S 0..1 Coding 外院報告請依ICD-10-PCS填寫，若無法對應，可使用LOINC代碼#18748-4呈現。
Binding: LOINCDiagnosticReportCodes (extensible)
...... system S 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
...... code S 1..1 code Symbol in syntax defined by the system
Required Pattern: 18748-4
.... text S 0..1 string 影像檢查的身體部位
... subject 1..1 Reference(病人資訊-Patient TWPAS) The subject of the report - usually, but not always, the patient
.... effective[x]:effectiveDateTime S 1..1 dateTime 影像報告日期，YYYY-MM-DD
... performer S 1..1 Reference(醫事人員-Practitioner TWPAS) 簽發影像報告醫師身分證號
... imagingStudy SC 0..* Reference(DICOM影像-ImagingStudy TWPAS) DICOM影像，SNOMED CT
... media SC 0..* BackboneElement 非DICOM影像
.... link 1..1 Reference(非DICOM影像-Media TWPAS) Reference to the image source
... conclusion S 1..1 string 影像報告結果，請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。
... presentedForm SC 0..* Attachment 報告結果-MIMEType。若需要，可上傳影像報告的PDF檔。
Constraints: UploadContent
.... contentType S 1..1 code Mime type of the content, with charset etc.
.... url S 1..1 url 影像報告（請填寫完整檔案路徑）
Example General: file://ImagingDiagnosticReport01.pdf
.... title S 1..1 string 影像報告名稱

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DiagnosticReport.codepreferredICD10PCS2023Image
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-image
From this IG
DiagnosticReport.code.coding:TW2023ICD10PCSextensibleICD10PCS2023Image
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-image
From this IG
DiagnosticReport.code.coding:TW2014ICD10PCSextensibleICD10PCSImage
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2014-image
From this IG
DiagnosticReport.code.coding:LOINCextensibleLOINCDiagnosticReportCodes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/report-codes
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
UploadContenterrorDiagnosticReport.presentedForm填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf
: url.matches('^file://[a-zA-Z0-9_一-龥()（）－]+.[a-zA-Z]{2,5}$')
image-reporterrorDiagnosticReportDICOM影像(imagingStudy)或非DICOM影像(media)擇一必填。
: imagingStudy.exists() or media.exists()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Constraints: image-report
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for report
... basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
... status ?!Σ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category Σ 0..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 1..1 Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... code Σ 1..1 CodeableConcept 影像報告，ICD-10-PCS。外院報告請依ICD-10-PCS填寫，若無法對應，可使用LOINC代碼#18748-4呈現。
Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (preferred): 最新參考代碼清單請參考此檔案。
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 1..1 Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
..... coding:TW2023ICD10PCS SΣ 0..1 Coding 2023年中文版ICD 10 PCS-影像報告值集
Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案。
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:TW2014ICD10PCS SΣ 0..1 Coding 2014年中文版ICD 10 PCS-影像報告值集
Binding: NHI-臺灣健保署2014年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案。
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:LOINC SΣ 0..1 Coding 外院報告請依ICD-10-PCS填寫，若無法對應，可使用LOINC代碼#18748-4呈現。
Binding: LOINCDiagnosticReportCodes (extensible)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Required Pattern: 18748-4
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string 影像檢查的身體部位
... subject Σ 1..1 Reference(病人資訊-Patient TWPAS) The subject of the report - usually, but not always, the patient
... encounter Σ 0..1 Reference(Encounter) Health care event when test ordered
... Slices for effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for report
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 1..1 dateTime 影像報告日期，YYYY-MM-DD
... issued Σ 0..1 instant DateTime this version was made
... performer SΣ 1..1 Reference(醫事人員-Practitioner TWPAS) 簽發影像報告醫師身分證號
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
... specimen 0..* Reference(Specimen) Specimens this report is based on
... result 0..* Reference(Observation) Observations
... imagingStudy SC 0..* Reference(DICOM影像-ImagingStudy TWPAS) DICOM影像，SNOMED CT
... media SΣC 0..* BackboneElement 非DICOM影像
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... comment 0..1 string Comment about the image (e.g. explanation)
.... link Σ 1..1 Reference(非DICOM影像-Media TWPAS) Reference to the image source
... conclusion S 1..1 string 影像報告結果，請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。
... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
... presentedForm SC 0..* Attachment 報告結果-MIMEType。若需要，可上傳影像報告的PDF檔。
Constraints: UploadContent
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
.... language Σ 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
.... data 0..1 base64Binary Data inline, base64ed
.... url SΣ 1..1 url 影像報告（請填寫完整檔案路徑）
Example General: http://www.acme.com/logo-small.png
Example General: file://ImagingDiagnosticReport01.pdf
.... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
.... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
.... title SΣ 1..1 string 影像報告名稱
Example General: Official Corporate Logo
.... creation Σ 0..1 dateTime Date attachment was first created

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
From the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
From the FHIR Standard
DiagnosticReport.codepreferredICD10PCS2023Image
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-image
From this IG
DiagnosticReport.code.coding:TW2023ICD10PCSextensibleICD10PCS2023Image
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-image
From this IG
DiagnosticReport.code.coding:TW2014ICD10PCSextensibleICD10PCSImage
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2014-image
From this IG
DiagnosticReport.code.coding:LOINCextensibleLOINCDiagnosticReportCodes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/report-codes
From the FHIR Standard
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
From the FHIR Standard
DiagnosticReport.presentedForm.contentTyperequiredMime Types(a valid code from urn:ietf:bcp:13)
http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
From the FHIR Standard
DiagnosticReport.presentedForm.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding

Constraints

IdGradePath(s)DetailsRequirements
UploadContenterrorDiagnosticReport.presentedForm填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf
: url.matches('^file://[a-zA-Z0-9_一-龥()（）－]+.[a-zA-Z]{2,5}$')
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
image-reporterrorDiagnosticReportDICOM影像(imagingStudy)或非DICOM影像(media)擇一必填。
: imagingStudy.exists() or media.exists()

This structure is derived from DiagnosticReport

Summary

Mandatory: 6 elements(10 nested mandatory elements)
Must-Support: 19 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DiagnosticReport.code.coding (Closed)
  • The element 1 is sliced based on the value of DiagnosticReport.effective[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Constraints: image-report
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
.... coding Σ 1..1 Coding Code defined by a terminology system
... code Σ 1..1 CodeableConcept 影像報告，ICD-10-PCS。外院報告請依ICD-10-PCS填寫，若無法對應，可使用LOINC代碼#18748-4呈現。
Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (preferred): 最新參考代碼清單請參考此檔案。
.... Slices for coding Σ 1..1 Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
..... coding:TW2023ICD10PCS SΣ 0..1 Coding 2023年中文版ICD 10 PCS-影像報告值集
Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案。
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:TW2014ICD10PCS SΣ 0..1 Coding 2014年中文版ICD 10 PCS-影像報告值集
Binding: NHI-臺灣健保署2014年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案。
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:LOINC SΣ 0..1 Coding 外院報告請依ICD-10-PCS填寫，若無法對應，可使用LOINC代碼#18748-4呈現。
Binding: LOINCDiagnosticReportCodes (extensible)
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
...... code SΣ 1..1 code Symbol in syntax defined by the system
Required Pattern: 18748-4
.... text SΣ 0..1 string 影像檢查的身體部位
... subject Σ 1..1 Reference(病人資訊-Patient TWPAS) The subject of the report - usually, but not always, the patient
... Slices for effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for report
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 1..1 dateTime 影像報告日期，YYYY-MM-DD
... performer SΣ 1..1 Reference(醫事人員-Practitioner TWPAS) 簽發影像報告醫師身分證號
... imagingStudy SC 0..* Reference(DICOM影像-ImagingStudy TWPAS) DICOM影像，SNOMED CT
... media SΣC 0..* BackboneElement 非DICOM影像
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... link Σ 1..1 Reference(非DICOM影像-Media TWPAS) Reference to the image source
... conclusion S 1..1 string 影像報告結果，請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。
... presentedForm SC 0..* Attachment 報告結果-MIMEType。若需要，可上傳影像報告的PDF檔。
Constraints: UploadContent
.... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
.... url SΣ 1..1 url 影像報告（請填寫完整檔案路徑）
Example General: http://www.acme.com/logo-small.png
Example General: file://ImagingDiagnosticReport01.pdf
.... title SΣ 1..1 string 影像報告名稱
Example General: Official Corporate Logo

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
From the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
From the FHIR Standard
DiagnosticReport.codepreferredICD10PCS2023Image
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-image
From this IG
DiagnosticReport.code.coding:TW2023ICD10PCSextensibleICD10PCS2023Image
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-image
From this IG
DiagnosticReport.code.coding:TW2014ICD10PCSextensibleICD10PCSImage
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2014-image
From this IG
DiagnosticReport.code.coding:LOINCextensibleLOINCDiagnosticReportCodes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/report-codes
From the FHIR Standard
DiagnosticReport.presentedForm.contentTyperequiredMime Types(a valid code from urn:ietf:bcp:13)
http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
UploadContenterrorDiagnosticReport.presentedForm填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf
: url.matches('^file://[a-zA-Z0-9_一-龥()（）－]+.[a-zA-Z]{2,5}$')
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
image-reporterrorDiagnosticReportDICOM影像(imagingStudy)或非DICOM影像(media)擇一必填。
: imagingStudy.exists() or media.exists()

Differential View

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Constraints: image-report
... category 0..1 CodeableConcept Service category
.... coding 1..1 Coding Code defined by a terminology system
... code 1..1 CodeableConcept 影像報告，ICD-10-PCS。外院報告請依ICD-10-PCS填寫，若無法對應，可使用LOINC代碼#18748-4呈現。
Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (preferred): 最新參考代碼清單請參考此檔案。
.... Slices for coding 1..1 Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
..... coding:TW2023ICD10PCS S 0..1 Coding 2023年中文版ICD 10 PCS-影像報告值集
Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案。
...... system S 1..1 uri Identity of the terminology system
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
...... code S 1..1 code Symbol in syntax defined by the system
..... coding:TW2014ICD10PCS S 0..1 Coding 2014年中文版ICD 10 PCS-影像報告值集
Binding: NHI-臺灣健保署2014年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案。
...... system S 1..1 uri Identity of the terminology system
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
...... code S 1..1 code Symbol in syntax defined by the system
..... coding:LOINC S 0..1 Coding 外院報告請依ICD-10-PCS填寫，若無法對應，可使用LOINC代碼#18748-4呈現。
Binding: LOINCDiagnosticReportCodes (extensible)
...... system S 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
...... code S 1..1 code Symbol in syntax defined by the system
Required Pattern: 18748-4
.... text S 0..1 string 影像檢查的身體部位
... subject 1..1 Reference(病人資訊-Patient TWPAS) The subject of the report - usually, but not always, the patient
.... effective[x]:effectiveDateTime S 1..1 dateTime 影像報告日期，YYYY-MM-DD
... performer S 1..1 Reference(醫事人員-Practitioner TWPAS) 簽發影像報告醫師身分證號
... imagingStudy SC 0..* Reference(DICOM影像-ImagingStudy TWPAS) DICOM影像，SNOMED CT
... media SC 0..* BackboneElement 非DICOM影像
.... link 1..1 Reference(非DICOM影像-Media TWPAS) Reference to the image source
... conclusion S 1..1 string 影像報告結果，請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。
... presentedForm SC 0..* Attachment 報告結果-MIMEType。若需要，可上傳影像報告的PDF檔。
Constraints: UploadContent
.... contentType S 1..1 code Mime type of the content, with charset etc.
.... url S 1..1 url 影像報告（請填寫完整檔案路徑）
Example General: file://ImagingDiagnosticReport01.pdf
.... title S 1..1 string 影像報告名稱

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DiagnosticReport.codepreferredICD10PCS2023Image
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-image
From this IG
DiagnosticReport.code.coding:TW2023ICD10PCSextensibleICD10PCS2023Image
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-image
From this IG
DiagnosticReport.code.coding:TW2014ICD10PCSextensibleICD10PCSImage
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2014-image
From this IG
DiagnosticReport.code.coding:LOINCextensibleLOINCDiagnosticReportCodes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/report-codes
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
UploadContenterrorDiagnosticReport.presentedForm填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf
: url.matches('^file://[a-zA-Z0-9_一-龥()（）－]+.[a-zA-Z]{2,5}$')
image-reporterrorDiagnosticReportDICOM影像(imagingStudy)或非DICOM影像(media)擇一必填。
: imagingStudy.exists() or media.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Constraints: image-report
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for report
... basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
... status ?!Σ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category Σ 0..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 1..1 Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... code Σ 1..1 CodeableConcept 影像報告，ICD-10-PCS。外院報告請依ICD-10-PCS填寫，若無法對應，可使用LOINC代碼#18748-4呈現。
Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (preferred): 最新參考代碼清單請參考此檔案。
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 1..1 Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
..... coding:TW2023ICD10PCS SΣ 0..1 Coding 2023年中文版ICD 10 PCS-影像報告值集
Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案。
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:TW2014ICD10PCS SΣ 0..1 Coding 2014年中文版ICD 10 PCS-影像報告值集
Binding: NHI-臺灣健保署2014年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案。
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:LOINC SΣ 0..1 Coding 外院報告請依ICD-10-PCS填寫，若無法對應，可使用LOINC代碼#18748-4呈現。
Binding: LOINCDiagnosticReportCodes (extensible)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Required Pattern: 18748-4
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string 影像檢查的身體部位
... subject Σ 1..1 Reference(病人資訊-Patient TWPAS) The subject of the report - usually, but not always, the patient
... encounter Σ 0..1 Reference(Encounter) Health care event when test ordered
... Slices for effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for report
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 1..1 dateTime 影像報告日期，YYYY-MM-DD
... issued Σ 0..1 instant DateTime this version was made
... performer SΣ 1..1 Reference(醫事人員-Practitioner TWPAS) 簽發影像報告醫師身分證號
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
... specimen 0..* Reference(Specimen) Specimens this report is based on
... result 0..* Reference(Observation) Observations
... imagingStudy SC 0..* Reference(DICOM影像-ImagingStudy TWPAS) DICOM影像，SNOMED CT
... media SΣC 0..* BackboneElement 非DICOM影像
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... comment 0..1 string Comment about the image (e.g. explanation)
.... link Σ 1..1 Reference(非DICOM影像-Media TWPAS) Reference to the image source
... conclusion S 1..1 string 影像報告結果，請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。
... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
... presentedForm SC 0..* Attachment 報告結果-MIMEType。若需要，可上傳影像報告的PDF檔。
Constraints: UploadContent
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
.... language Σ 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
.... data 0..1 base64Binary Data inline, base64ed
.... url SΣ 1..1 url 影像報告（請填寫完整檔案路徑）
Example General: http://www.acme.com/logo-small.png
Example General: file://ImagingDiagnosticReport01.pdf
.... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
.... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
.... title SΣ 1..1 string 影像報告名稱
Example General: Official Corporate Logo
.... creation Σ 0..1 dateTime Date attachment was first created

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
From the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
From the FHIR Standard
DiagnosticReport.codepreferredICD10PCS2023Image
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-image
From this IG
DiagnosticReport.code.coding:TW2023ICD10PCSextensibleICD10PCS2023Image
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-image
From this IG
DiagnosticReport.code.coding:TW2014ICD10PCSextensibleICD10PCSImage
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2014-image
From this IG
DiagnosticReport.code.coding:LOINCextensibleLOINCDiagnosticReportCodes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/report-codes
From the FHIR Standard
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
From the FHIR Standard
DiagnosticReport.presentedForm.contentTyperequiredMime Types(a valid code from urn:ietf:bcp:13)
http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
From the FHIR Standard
DiagnosticReport.presentedForm.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding

Constraints

IdGradePath(s)DetailsRequirements
UploadContenterrorDiagnosticReport.presentedForm填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf
: url.matches('^file://[a-zA-Z0-9_一-龥()（）－]+.[a-zA-Z]{2,5}$')
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
image-reporterrorDiagnosticReportDICOM影像(imagingStudy)或非DICOM影像(media)擇一必填。
: imagingStudy.exists() or media.exists()

This structure is derived from DiagnosticReport

Summary

Mandatory: 6 elements(10 nested mandatory elements)
Must-Support: 19 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DiagnosticReport.code.coding (Closed)
  • The element 1 is sliced based on the value of DiagnosticReport.effective[x]

 

Other representations of profile: CSV, Excel, Schematron